Effect of job maintenance training program for employees with chronic disease – a randomized controlled trial on self-efficacy, job satisfaction, and fatigue
Open accessAbstract
OBJECTIVE: Employees with a chronic physical condition may be hampered in job performance due to physical or cognitive limitations, pain, fatigue, psychosocial barriers, or because medical treatment interferes with work. This study investigates the effect of a group-training program aimed at job maintenance. Essential elements of the program are exploration of work-related problems, communication at the workplace, and the development and implementation of solutions. METHODS: Participants with chronic physical diseases were randomly assigned to the intervention (N=64) or the control group (N=58). Participants were eligible for the study if they had a chronic physical disease, paid employment, experienced work-related problems, and were not on long-term 100% sick leave. Primary outcome measures were self-efficacy in solving work- and disease-related problems (14-70), job dissatisfaction (0-100), fatigue (20-140) and job maintenance measured at 4-, 8-, 12- and 24-month follow-up. We used GLM repeated measures for the analysis. RESULTS: After 24 months, loss to follow-up was 5.7% (7/122). Self-efficacy increased and fatigue decreased significantly more in the experimental than the control group [10 versus 4 points (P=0.000) and 19 versus 8 points (P=0.032), respectively]. Job satisfaction increased more in the experimental group but not significantly [6 versus 0 points (P=0.698)]. Job maintenance was 87% in the experimental and 91% in the control group, which was not a significant difference. Many participants in the control group also undertook actions to solve work-related problems. CONCLUSIONS: Empowerment training increases self-efficacy and helps to reduce fatigue complaints, which in the long term could lead to more job maintenance. Better understanding of ways to deal with work-related problems is needed to develop more efficient support for employees with a chronic disease.
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The participants in the present study had been on sick leave for an extremely long time (mean 7.8 years) and may not be fully comparable to other studies.
“In comparison to the above presented studies whose participants had been on sick leave for a maximum of 1 year [31, 32, 38, 39], the participants in the present study had been on sick leave for an extremely long time (a mean time of 7.8 years) and may therefore not be fully comparable to other studies.”
From Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. (2018) · cites this paper as [39]
Table 2 reports sickness absence of 14 and 20 days on average in the preceding four months for the two groups. The Recruitment and eligibility criteria section says participants had paid jobs and that workers on long-term full-time sick leave were included only if they expected to return soon. Neither passage establishes that all participants had been on sick leave for no more than one year; the citing study’s 7.8-year mean is its own comparison, not a finding attributed to this source. (LLM, conf=0.78)
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- Authors
- Varekamp, I., Verbeek, J. H., de Boer, A., & van Dijk, F. J.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Finnish Institute of Occupational Health (FI)
- Corresponding author
- Varekamp, Inge
- ORCID
- Verbeek, Jos H
- Venue
- Scandinavian Journal of Work, Environment & Health
- Published
- 2011-02-15
- Volume
- 37
- Issue
- 4
- Pages
- 288-297
- ISSN
- 0355-3140 (ISSN-L)
- 1795-990X
- OpenAlex
- W2318903346
- Cited by
- 59
- References
- 52
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 5 · 2013: 7 · 2012: 4
- FWCI
- 10.11
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Scandinavian Journal of Work Environment & Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- Ministerie van Sociale Zaken en Werkgelegenheid
- Instituut Gak
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Social Sciences › Demography › Retirement, Disability, and Employment
- Keywords
- job maintenance, chronic physical illness, employee training, self-efficacy, job satisfaction, fatigue, work-related problems, workplace communication, empowerment, return to work, sick leave
- MeSH terms
- Adult, Chronic Disease, Fatigue, Female, Humans, Inservice Training, Job Satisfaction, Male, Middle Aged, Netherlands, Occupational Health Services, Power, Psychological, Workplace, Self Efficacy
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